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St Bridget's Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 8 January 2019

This was an unannounced comprehensive inspection that took place on 7 and 9 November 2018. August 2018.

St Bridget’s Residential Home is registered to provide accommodation and personal care for up to 10 people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At our previous inspection carried out in January 2018 we made three requirements for breaches of regulations. These were in relation to a failure to display the home’s CQC rating on their website, shortfalls and inconsistencies in the recruitment of staff and non-compliance with The Mental Capacity Act 2005 (MCA). Following the inspection, the registered manager submitted an action plan on how improvements would be made. At this inspection we found the requirements had been complied with.

The registered manager had worked at the service for many years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from neglect and abuse. The registered manager had assessed risks both in respect of the environment and also the delivery of care to ensure that people were supported safely with the least possible restriction on their freedom. Staff had been trained in safeguarding of adults so that they were aware of safeguarding referral procedures and how to identify potential abuse.

Accidents, incidents or near misses were recorded and monitored for developing trends. Pre-employment check procedures had been reviewed so ensure that regulations would be met in terms of staff recruitment. No new staff had been recruited since the last inspection. There were sufficient appropriately trained staff on duty to support people in a person-centred way.

Medicines were managed safely ensuring that people had medicines as prescribed by their doctor.

The service had made improvements so that they were now compliant with The Mental Capacity Act 2005. People’s physical, mental health and social needs were comprehensively assessed, and care and support was planned and delivered in a personalised way to meet those needs. Staff were appropriately trained and received support and supervision from the registered manager.

The premises were clean and well maintained. Individual bedrooms were furnished according to people’s preferences.People were provided with a good standard of food and their dietary needs had been assessed.

People, and where appropriate their families, were involved in decisions about their care and support. People were treated with kindness, respect and compassion, and their privacy and dignity was upheld. Relatives and friends could visit when they wished without notice.

Care plans had been developed for each person providing guidance to staff on how to meet their personalised needs. People had access to activities and encouraged to follow interests and hobbies. There was a well-publicised complaints procedure in place and a log of any complaints to evidence how complaints had been managed.

People were supported with their health care needs.

The home had a registered manager who had worked at the home for a long period, providing good leadership. A system of audits and surveying of views of the service was in place that sought to drive improvements and customer satisfaction. The provider had updated their website to display the CQC rating, meeting a requirement from the last inspection.

Inspection areas

Safe

Good

Updated 8 January 2019

The service was safe.

People were protected from bullying, harassment, avoidable harm, neglect, abuse and discrimination.

Risks were assessed and managed to protect people from harm.

There were enough competent, safely recruited staff to provide care and support in a person-centred way. The provider had put procedures in place to make sure staff recruitment was in line with meeting the regulations.

Medicines were managed safely.

Effective

Good

Updated 8 January 2019

The service was effective.

The registered manager had made improvements in compliance with The Mental Capacity Act 2005, meeting a requirement made at the last inspection.

Staff were supported by access to training so that they had the skills and knowledge they needed to carry out their roles.

People were positive about the standard of food. Meal times were are not rushed and there were enough staff to provide support at people�s own pace, if needed.

People had the support they needed to maintain their health.

Caring

Good

Updated 8 January 2019

The service was caring.

People were treated with dignity, respect and kindness. Their privacy and dignity was upheld

People had positive relationships with staff, who knew and understood them.

Responsive

Good

Updated 8 January 2019

The service was responsive.

People and, where appropriate, their families were meaningfully involved in developing their support plans.

Staff enabled people to carry out person-centred activities and encouraged them to maintain hobbies and interests.

The service dealt with complaints in an open and transparent way. Complaints and concerns were explored thoroughly and responded to in good time.

Well-led

Good

Updated 8 January 2019

The service was well led.

The registered manager and provider were available and lead by example.

Staff understood their role and responsibilities, were motivated, and had confidence in their leaders and managers.